Active NPI
Catherine Anne McCubbin, LCPC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1962634006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC3050
- Practice address
- 2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756 - Phone
- (410) 757-2077
- NPI assigned
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3050 | MD | |
| Mental Health Counselor | 101YM0800X | LC3050 | MD | Primary |
Addresses
Primary practice location
2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other practice location 1
1120 N Charles St Ste 101
Baltimore, MD 21201-5593
Phone (443) 419-7674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3050 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridging Gaps Through Positive Solutions | Current | Accepting new patients | |
| Bridging Gaps Through Positive Solutions | Current | Accepting new patients | |
| Arundel Mental Health Professionals LLC | Current | Accepting new patients | |
| Community Wellness Outpatient Mental Health Center LLC | Current | Accepting new patients |
Locations
2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209
3310 Eastern Ave
Baltimore, MD 21224
Phone (443) 708-5056
8508 Loch Raven Blvd
Towson, MD 21286
Phone (410) 296-7222
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1679104210
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1114348463
-
- Clinical Psychologist
- Baltimore, MD
- NPI 1083340830
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1609422245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1962634006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 QUARRY LAKE DR STE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093756",
"telephone_number": "410-757-2077"
}
],
"practiceLocations": [
{
"address_1": "1120 N Charles St Ste 101",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212015593",
"country_code": "US",
"telephone_number": "443-419-7674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCUBBIN",
"first_name": "CATHERINE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-21",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3050",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC3050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.